Revision Lumbar Spine Surgery 1st Edition by Robert Heary ISBN 9780323712019 0323712010

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Product details:
ISBN 10: 0323712010
ISBN 13: 9780323712019
Author: Robert Heary

Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You’ll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field.

• Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area.

• Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches.

• Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks.

• Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management.

• Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.

Revision Lumbar Spine Surgery 1st Edition Table of contents:

1. Anatomy and Physiology/Biology of Bone

Abstract

Chapter Outline

Anatomy

Lumbar Spine Alignment

Load Transmission

Fusion Types and Area

Basic Bone Biology

Bone Grafting Area and Volume Available in Different Approaches

Pain Generator Identification in Previously Fused Patients

Implant Removal

Looking for Pain Generators Outside of the Spine

Summary and Conclusion

References

2. The Role of Osteoporosis and Bone Diseases in Revision Spine Surgery

Abstract

Chapter Outline

Introduction

Adverse Consequences of Poor Bone Health

Epidemiology of Poor Bone Health in Spine Surgery

Bone Health Evaluation in Revision Spine Surgery

Preoperative Bone Health Optimization

Conclusion

References

3. Medical Fitness Evaluation

Abstract

Chapter Outline

Introduction

Overall Wellness

Comorbidities

Conclusion

References

4. Indications

Abstract

Chapter Outline

Background

Adjacent Segment Pathology

Pseudarthrosis

Implant Failure

Flatback Syndrome

Residual Stenosis or Recurrent Disc Herniation

Complications (Wound Healing Issues/Infection)

Conclusions

References

5. Imaging Considerations (Magnetic Resonance, Computed Tomography, Myelography, Plain)

Abstract

Chapter Outline

Introduction

Magnetic Resonance Imaging

Computed Tomography

Myelography

Conventional Radiography

References

6. Dural Scarring and Repair Issues

Abstract

Chapter Outline

Background

Revision Lumbar Spine Surgery

Dural Tears During Lumbar Spine Surgery

Our Approach to Revision Lumbar Surgery (and Management of Durotomy)

Conclusion

Illustrative Case

References

7. Decompression

Abstract

Chapter Outline

Introduction

Diagnosis and Indications for Surgery

Outcome Measures

Adjacent Segment Stenosis

Revision Lumbar Laminectomy

Revision Lumbar Discectomy

Minimally Invasive Revision Microdiscectomy

Conclusion

References

8. Disc Herniation (Primary, Recurrent, Residual)

Abstract

Chapter Outline

Introduction

Anatomy

Clinical Presentation

Imaging

Operative Management

Risk Factors for Recurrent Disc Herniations

Evaluation of Recurrent Disc Herniation

Management of Recurrent Disc Herniation

Conclusion

References

9. Instrumentation Options

Abstract

Chapter Outline

Introduction

Considerations

Posterior Instrumentation

Anterior Instrumentation

Conclusions

References

10. Autograft/Allograft/Cage/Bone Morphogenetic Protein

Abstract

Chapter Outline

The Use of Autograft and Allograft in Revision Lumbar Spine Surgery

References

11. Minimally Invasive Surgery and Navigation

Abstract

Chapter Outline

Introduction

Revision Decompression Without Fusion

Revision Fusion

Navigation in Revision Surgery

Conclusion

References

12. Anterior Lumbar Fusion

Abstract

Chapter Outline

Introduction

Anterior Lumbar Interbody Fusion for Lumbar Pseudarthrosis

Anterior Lumbar Interbody Fusion for Correction of Sagittal Deformity

Other Relative Indications: Recurrent Disc Herniations, Spondylolisthesis/Instability, Adjacent Segment Disease, and Degenerative Disc Disease

Risks and Complications

Authors’ Preferred Technique

Conclusion

References

13. Revision Transforaminal Lumbar Interbody Fusion

Abstract

Chapter Outline

Introduction

Pseudarthrosis, Subsidence, and Cage Migration

Adjacent Segment Stenosis, Recurrent Lumbar Disc Herniation/Revision Discectomy, or Instability After Previous Decompressive Surgery

Open Versus Minimal Invasive Operative Considerations

Complications

References

14. Lateral Lumbar Interbody Fusion

Abstract

Chapter Outline

Introduction

Anatomical Considerations

Brief Surgical Technique

Surgical Indications and Lateral Lumbar Interbody Fusion Revision Surgery

Conclusion

References

15. Anterior-Posterior Surgeries

Abstract

Chapter Outline

Introduction

Indications for Staged Anterior-Posterior Lumbar Spine Surgery

Operative Techniques and Considerations

Representative Case

References

16. Unilateral Versus Bilateral Strut Placement in Revision Spine Surgery

Abstract

Chapter Outline

Introduction

Complications in Posterior and Transforaminal Lumbar Interbody Fusions

Reoperation in Lumbar Spine Surgery

Single Versus Double Cage

Clinical Case

Conclusion

References

17. Robotics for Revision Spine Surgery

Abstract

Chapter Outline

Introduction

Robotics as an Emerging Technology

Technique

Pros and Cons

Complications and Pitfalls

Future Directions

Case Examples

References

18. Pedicle Subtraction Osteotomy

Abstract

Chapter Outline

Introduction

Patient Selection and Operative Indications

Operative Planning

Choosing Proximal and Distal Fixation Levels for Lumbar Pedicle Subtractive Osteotomy

Surgical Technique

Complications and Strategies to Reduce Their Occurrence

Conclusion

References

19. Vertebral Column Resection

Abstract

Chapter Outline

Introduction

Surgical Considerations and Indications

Deformity Assessment

Radiological Evaluation

Surgical Technique

Posterior-Only Vertebral Column Resection Technique

Anterior-Posterior Vertebral Column Resection Technique

Postoperative Management

Conclusion

Disclosures

References

20. Revision Lumbar Deformity Surgery

Abstract

Chapter Outline

Introduction

Patient Assessment

Approach Considerations

Sagittal Considerations

Coronal Considerations

Complications

Conclusion

References

21. Postoperative Considerations

Abstract

Chapter Outline

Introduction

Postoperative Drains

Perioperative Antibiotic Prophylaxis

Postoperative Venous Thromboembolism Prophylaxis

Spinal Orthoses

Physical Therapy

Summary

References

22. Adjacent Segment Disease After Fusion

Abstract

Chapter Outline

Definitions

Biomechanical Pathogenesis of Adjacent Segment Disease

Incidence

Risk Factors

Association With Patient-Reported Outcomes

Prevention of Adjacent Segment Disease

Clinical Evaluation and Diagnosis

Nonoperative Management

Operative Management

References

23. Pseudarthrosis/Nonunion

Abstract

Chapter Outline

Introduction

Lumbar Pseudarthrosis Definition, Epidemiology, and Diagnosis

Imaging Modalities to Assess Pseudarthrosis

Mechanical Biology of Bone Healing and Fusion

Patient Risk Factors for Pseudarthrosis

Bone Graft Materials

Summary

References

24. Iatrogenic Spinal Instability: Causes, Evaluation, Treatment, and Prevention

Abstract

Chapter Outline

Introduction

Epidemiology

Diagnosis

Treatment

Prevention

Summary

References

25. Advances in Spinal Cord Stimulation

Abstract

Chapter Outline

Introduction

Why Spinal Cord Stimulation?

What Therapy Is More Cost-Effective?

How Are the Best Outcomes Achieved?

The Surgical Procedure

Special Surgical Situations

The Device Is in, Now What?

What Is Subparesthesia Stimulation?

Conclusions

Conflicts of Interest

References

Index

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Tags: Robert Heary, Revision Lumbar, Spine Surgery